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Switching to Strattera From Another ADHD Medication

If your child is taking an ADHD stimulant medication and you're considering switching to non-stimulant Strattera, here are some things to keep in mind.

Many parents were excited when Strattera was introduced, especially if they didn't like the idea of giving their child a stimulant or if they were not doing well with their ADHD medicine.

There were several things that kept some kids from being switched over right away though. As a new medicine, some people were hesitant to try it in case it caused as many or more side effects as a stimulant. Others didn't like the idea of waiting the two to four weeks that Strattera takes to be effective.

Of course, if your child's current medication, whether it is Adderall XR, Concerta, or Ritalin LA, etc., is controlling his ADHD symptoms and is not causing significant side effects, like a poor appetite, poor weight gain, or insomnia, than you likely still don't want to change.

Summertime Switch

For a child who was doing well at school, making a big change and taking the risk of interfering with that success is another big reason parents stick with their child's regular medicine.

That makes summer a good time to make a switch if you or your pediatrician have been considering it. Over the summer, you will likely have more time to deal with side effects of Strattera, adjust the dosage of Strattera that your child takes, and give it time to work. And you will have plenty of time before school starts back up again to change back to his old ADHD medicine or switch to a different one if it doesn't work.

Switching to Strattera at Other Times

Waiting until summer is not always practical though. If your child is losing a lot of weight, becomes too irritable when taking a stimulant, or if they just don't seem to work, you may want to try Strattera even if it is right in the middle of the school year.

If your child with ADHD is very hyperactive, aggressive, and impulsive, and gets in trouble a lot, the idea of sending him to school without any symptom control likely doesn't sound like a good idea. In situations like this, while waiting for the Strattera to take effect, many doctors also prescribe the child's stimulant medicine to take at the same time for a few weeks. They then later stop the stimulant, continue the Strattera, and see how well it is working.

Making Strattera Work

Many people have been concerned that Strattera doesn't seem to work as well as stimulants do. Part of the reason has been that most Pediatricians were only switching their children who weren't doing well on a stimulant. Expecting these children who weren't easy to treat with a stimulant to all of a sudden do great with just Strattera likely isn't fair.

Many Pediatricians also don't have a lot of experience with Strattera yet, so they may not know to increase the dose if it isn't working, give the dose at night if it is making the child too sleepy, or change to a twice a day dose if it is causing stomachaches.

Parents and teachers also often have unrealistic expectations of a child that goes from a stimulant to Strattera. They may expect the medicine to work right away or to work in exactly the same way as a stimulant. With Strattera, although they may pay attention well and not be easily distracted, it doesn't always seem to control symptoms of hyperactivity as well as a stimulant might.

Why should you accept less symptom control when changing your child's medicine?

Well, you shouldn't if your child was doing well on a stimulant and it wasn't causing side effects. But if your child was not tolerating a stimulant, then you may have to accept the way Strattera works for your child, especially if they are getting their work done at school and aren't getting in trouble.

For many other kids with ADHD, Strattera does seem to offer symptom control that compares to a stimulant. In fact, the American Academy of Child and Adolescent Psychiatry recently introduced new ADHD treatment guidelines that listed Strattera as being a first-line treatment option.

Strattera Suicide Warning

Although infrequent, the FDA has warned about an increased risk of suicidal thinking in children and adolescents being treated with Strattera. Specifically, like many other psychiatric medications, the FDA states that Strattera 'may increase thoughts of suicide or suicide attempts in children and teens,' and that parents should call their child's doctor if their child has:

new or increased thoughts of suicide

changes in mood or behavior including becoming irritable or anxious

This warning doesn't mean that your child can't be prescribed Strattera or that he should stop taking Strattera if it is doing a good job managing his ADHD symptoms and not causing side effects. Instead, the benefit of taking Strattera should be weighed against the possible risks of the drug. And children taking Strattera should be 'observed closely for clinical worsening, suicidal thinking or behaviors, or unusual changes in behavior,' especially in the first few months of starting treatment or when the dosage is changed.

Related ADD-ADHD Articles

Wondering where to go for adult ADHD help? Many people first discuss their concerns with their family physicians. While these physicians may feel comfortable diagnosing and prescribing ADD treatments to a child patient, many may not feel comfortable diagnosing adult ADD patients and prescribing ADHD drugs to adults. While family docs have access to specific criteria for diagnosing and helping children with the disorder, no clear guidelines exist for family physicians providing ADHD help for adults.

This does not mean that adults should not consult a family physician about their concerns, simply that the doctor may refer them to a mental healthcare provider with more experience dealing with adult ADD patients.

Do you experience these issues in more than one situation? (i.e. work, home, and other social situations)

Do your issues adversely affect your personal relationships?

Do family, friends, and coworkers notice these problems?

Do you have any other health problems or issues that could cause these negative behaviors?

Have you noticed these problems since you were a child?

At the initial visit with your physician, he or she may ask similar questions to the ones above. He may ask you to write down your answers or to answer them orally.

Help with Adult ADD – Things You Can Do

Research and find some easy-to-use tools for organizing your life. Things like daily planners, whether electronic or paper-based, can help adults cope with their chronic tardiness, tendency to lose things, and forgetfulness. Counselors, who specialize in designing tools to help with adult ADD, will come up with a strategy and skill-set geared especially for your primary ADHD-related issues. (see Adult ADHD Therapy)

The most important thing you can do for yourself is to seek help and talk to a health care professional about your concerns. Specialized, effective ADHD help for adults is available all over the U.S. You deserve answers; you deserve a more organized, less chaotic life. Make an appointment today.